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General NPI Number Information
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NPI Number | 1760422539
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Entity Type | Organization
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Legal Business Name | COPELAND HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 225 2ND ST E
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City | TIFTON
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State | GA
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Zip | 31794-4409
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Country | US
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Telephone | 229-256-4572
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Fax | 229-256-4573
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Provider Business Mailing Address
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Address Line | 225 2ND ST E
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City | TIFTON
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State | GA
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Zip | 31794-4409
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Country | US
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Telephone | 229-256-4572
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Fax | 229-256-4573
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JESSICA COPELAND
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Credential |
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Telephone | 229-256-4572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 137-R-0006
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License Number State | GA
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